Basic Information
| Provider Information | |||||||||
| NPI: | 1811288590 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HUDSON VALLEY DEVELOPMENTAL SERVICES, OT,PT,SLP & PYSCHOLOGY, PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 151 N MAIN STREET STE 302 | ||||||||
| Address2: | |||||||||
| City: | NEW CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109563850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456381592 | ||||||||
| FaxNumber: | 8456381830 | ||||||||
| Practice Location | |||||||||
| Address1: | 151 N MAIN ST STE 302 | ||||||||
| Address2: | |||||||||
| City: | NEW CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 109563850 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8456381592 | ||||||||
| FaxNumber: | 8456381830 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/28/2011 | ||||||||
| LastUpdateDate: | 04/28/2011 | ||||||||
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| AuthorizedOfficialLastName: | LUCCHI-CAPONIGRO | ||||||||
| AuthorizedOfficialFirstName: | LORI | ||||||||
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| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 8456381592 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OTR | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 252Y00000X | 003541 | NY | Y | Agencies | Early Intervention Provider Agency |
No ID Information.